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Individual & Family Products

Benefits

You can also get answers to your questions about your child's coverage by calling Customer Service at 1.800.KIDS.101 (1.800.543.7101) from 8:00 a.m. to 6:00 p.m. EST, Monday through Friday.

Benefits available under CHIP include the following:

  • Preventive coverage such as doctor's office visits, well-child care and immunizations
  • Pre and post natal care
  • Emergency medical and accident care
  • Diagnostic and Laboratory tests
  • Mental health services
  • Prescription drugs
  • Preventive, routine and emergency dental, vision and hearing care
  • Inpatient and Partial hospitalization
  • Home Health Care
  • Substance Abuse
  • Durable Medical Equipment (DME)

Member Handbook

CHIP is brought to you by Capital BlueCross in its 21-county service area. To access the CHIP Member Handbook, which describes in detail eligibility, enrollment, and benefits available through CHIP:

Member Handbook

Guía para los Miembros

Attachments referred to in the Member Handbook:

Schedule of Preventive Health Services

Child Health Maintenance Guidelines

Services Requiring Preauthorization

Be sure to choose the latest version of the HMO Preauthorization Guide

Health and Wellness

Medical Benefits Summary

For a summary of your child's medical coverage benefits offered through Keystone Health Plan Central:

Medical Summary of Benefits

Beneficios Médico

Prescription Drug Coverage Summary

For a summary of your child's prescription drug coverage benefits offered through VS Caremark:

Prescription Summary of Benefits

Additional information regarding your child's prescription drug benefits, including a Guide to Rx Benefits, preauthorization program requirements, drug formulary, and a preferred medication list:

Pharmacy Information

Dental Coverage Summary

For a summary of your child's dental coverage benefits offered through BlueCross Dental:

Dental Summary of Benefits

Beneficios Dentales

Vision Coverage Summary

For a summary of your child's vision coverage benefits offered through BlueCross Vision:

Vision Summary of Benefits

Vision Summary of Benefits en Español

Network Care Providers

Search our directory of healthcare providers. The directory search gives you our most current provider information. If you have questions about a provider, please call the toll-free number on the back of your ID card. You may also contact Customer Service at 1.800.KIDS.101 (1.800.543.7101), Monday through Friday, 8:00 a.m. to 6:00 p.m. EST.